Individual skill

northstar-payer-operations

Use when the task involves Northstar Health Plan payer operations — prior authorization, utilization management review, pharmacy appeals, payment integrity claim repricing, peer-to-peer clinical review, or UM-finance margin analysis. Always use this skill when the user references Northstar, a payer-operations environment, an authorization case, an appeal, a claim repricing, a P2P review, or a therapy margin queue, even when the domain terminology is partial or the task is framed as a JSON-structured determination, correction packet, or queue summary.

experiments/codex_skill_creator_comparison_deepseek_v4_pro_max/reports/skills/task_group_014/fewshot/cc/fewshot_attempt_02/SKILL.md

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Oct 29, 2026
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Apache-2.0

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# Northstar Payer Operations

Solve Northstar Health Plan payer-operations tasks by querying the shared
HTTP + SQL environment and returning a single JSON object that conforms to
the provided answer template.

## First steps — always do these

1. **Read the three task input files**:
   - `input/prompt.txt` — the business request in prose.
   - `input/payloads/task_context.json` — the target business id, requester
     role, reporting date, and any domain-specific hints under `local_memo`
     or a similar key.
   - `input/payloads/answer_template.json` — the exact required JSON shape.
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